A Common Sense Approach to Diabetes Management in Post-Acute and Long Term Care

Recorded On: 04/05/2016

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Patients with diabetes constitute some of the most medically complex patients in nursing facilities. They usually have existing complications, are prone to frequent infections, cardiovascular events, injurious falls, electrolyte disturbances, cognitive impairment, weight fluctuations and hypoglycemia. They have a greater degree of functional impairment and dependence and constitute some of the “heaviest care" patients in the facility. The challenges of managing diabetes in Post-Acute and Long term Care may be characterized as attributable to resident and disease, facility, staff and practitioner, and medication management factors. Treatment regimens vary widely, may be unnecessarily complex, and place the patient at risk of hypoglycemia. This webinar will discuss systematic and evidence-based approaches to improve the diabetes management in facilities.

Learning Objectives:

1. Review the challenges in diabetes management from the patient, facility, and practitioner perspectives.
2. Describe a systematic approach to pharmacotherapy, individualizing control, and monitoring of glycemia, and of diabetes care at the patient and facility level.
3. Provide examples of selection of treatment regimens, discontinuation of sliding scale insulin, minimization of hypoglycemia risk, and diabetes care at the end of life.


Naushira Pandya, M.D., CMD, FACP
Professor and Chair, Department of Geriatrics
Director, Geriatrics Education Center, Immediate Past president, AMDA Society for Post-Acute and Long-Term Care Medicine
Nova Southeastern University College of Osteopathic Medicine

Holly Harmon, RN, MBA, LNHA
Senior Director of Clinical Services

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